Waianae District Comprehensive Health And Hospital Board

HEALTH CENTER CLUSTER

HEALTH CENTER CLUSTER

AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS

AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS

NATIVE HAWAIIAN EDUCATION ACT PROGRAM - EDUCATION OF NATIVE HAWAIIANS

NATIVE HAWAIIAN CAREER AND TECHNICAL EDUCATION

INTEGRATED SUBSTANCE USE DISORDER (SUD) TRAINING PROGRAM

ADVANCED NURSING EDUCATION- NURSE PRACTITIONER RESIDENCY FELLOWSHIP PROGRAM

OPTIMIZING VIRTUAL CARE

EDUCATION OF NATIVE HAWAIIANS

RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH US

ADVANCED NURSING EDUCATION NURSE PRACTITIONER RESIDENCY INTEGRATION PROGRAM

OPIOID-IMPACTED FAMILY SUPPORT PROGRAM - PROJECT DIRECTOR: NICOLE S. WRIGHT, DIRECTOR, MALAMA RECOVERY SERVICES | HO?OKUOLA HALE CONTACT PHONE AND FAX: PHONE: (808) 697-3457; FAX: (808) 697-3687 E-MAIL: WCCHC@WCCHC.COM WEBSITE ADDRESS: WWW.WCCHC.COM THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER (WCCHC) HAS BEEN A HRSA FQHC SINCE 1972. LOCATED IN A MEDICALLY UNDERSERVED AREA ON THE ISLAND OF O‘AHU, IT IS THE LARGEST AND OLDEST OF THE 15 COMMUNITY HEALTH CENTERS IN THE STATE OF HAWAI‘I SERVING 35,495 PATIENTS IN 2023, 76% AANHPI, AND 71% AT 100% OF THE FEDERAL POVERTY LEVEL OR BELOW. THE WAI‘ANAE COAST IS AN ECONOMICALLY DISTRESSED COMMUNITY WITH A POPULATION OF 47,774 INDIVIDUALS, RANKING HIGHEST ON THE ISLAND OF O‘AHU FOR HOUSEHOLDS RECEIVING FINANCIAL AID AND FOOD STAMPS. SUD/OUD AND MH CONCERNS ARE AT AN ALL-TIME HIGH IN THIS COMMUNITY. THE PROPOSED PROJECT, KULIA I KA NU?U (“STRIVE TO REACH THE HIGHEST”), AIMS TO CREATE A COMPREHENSIVE TRAINING PROGRAM TO ADDRESS THE CRITICAL NEED FOR SKILLED BEHAVIORAL HEALTH PARAPROFESSIONALS IN HAWAI?I. THE PROGRAM AIMS TO RECRUIT, EDUCATE, AND SUPPORT TRAINEES FROM MEDICALLY UNDERSERVED COMMUNITIES, PROVIDING EACH COHORT WITH COMPREHENSIVE EDUCATION IN BEHAVIORAL HEALTH WITH AN EMPHASIS ON OPIOID USE AND TREATMENT. THE EXISTING CURRICULUM INCLUDES DIDACTIC COURSEWORK COVERING KEY TOPICS SUCH AS ADDICTION SCIENCE, COUNSELING TECHNIQUES, TRAUMA-INFORMED CARE, AND CULTURAL COMPETENCE, ALONGSIDE EXPERIENTIAL LEARNING THROUGH COMMUNITY-BASED FIELD PLACEMENTS. BY DEVELOPING A WORKFORCE OF TRAINED CERTIFIED PEER SUPPORT SPECIALISTS AND SUBSTANCE ABUSE COUNSELORS, THE KULIA I KA NU?U PROGRAM SEEKS TO SUPPORT FAMILIES AND INDIVIDUALS IMPACTED BY OPIOID USE DISORDER (OUD) AND OTHER SUBSTANCE USE DISORDERS (SUD). THE TRAINING PROGRAM WILL ALSO INCORPORATE SUPPORT SERVICES, INCLUDING MENTORSHIP, JOB SEARCH ASSISTANCE, AND CONTINUING EDUCATION OPTIONS, HELPING TRAINEES SECURE EMPLOYMENT IN UNDERSERVED COMMUNITIES AND SUSTAIN LONG-TERM CARE ERS IN THE MENTAL HEALTH FIELD. THE KULIA I KA NU?U PROJECT WILL BE HOUSED WITHIN WCCHC’S MALAMA RECOVERY SERVICES (MRS) PROGRAM, AN INTENSIVE OUTPATIENT SUBSTANCE USE DISORDER TREATMENT PROGRAM. HRSA FUNDING WILL GROW THE WORKFORCE THROUGH TRAINING PARAPROFESSIONALS IN THE TREATMENT OF SUBSTANCE USE DISORDERS, ESPECIALLY OPIOID USE DISORDER, AND MENTAL HEALTH CONCERNS IN A MEDICALLY UNDERSERVED COMMUNITY. THIS PROPOSAL ALSO PLACES PRIORITY ON PATIENT EDUCATION AND COMMUNICATION, TEAM-BASED CARE, AND PROVIDER-TRAINEE MENTORSHIP IN FEDERALLY QUALIFIED HEALTH CENTER SETTINGS. ADDITIONALLY, THE TRAINING PROGRAM WOULD ALLOW EXTENSIVE TELEHEALTH TRAINING TO ENABLE VIRTUAL VISITS IN REMOTE AND GEOGRAPHICALLY ISOLATED COMMUNITIES. AT LEAST 30 TRAINEES WILL BE RECRUITED FOR EACH FUNDED YEAR OF THE TRAINING PROGRAM. THESE PARAPROFESSIONALS WILL EXPAND THE CURRENT BEHAVIORAL HEALTH WORKFORCE IN HAWAI?I TO TREAT OUD AND OTHER SUBSTANCE USE DISORDER AND MENTAL HEALTH CONCERNS THROUGH CULTURALLY COMPETENT AND COMPASSIONATE CARE FOR UNDERSERVED COMMUNITIES. EXISTING AND NEW ACADEMIC AFFILIATIONS WILL BE ESTABLISHED TO SUSTAIN A PIPELINE OF STUDENTS WHO WILL SUSTAIN HRSA OIFSP GOALS BEYOND THE FUNDING PERIOD.

ARRA - CAPITAL IMPROVEMENT PROGRAM

HEALTH CENTER CORONAVIRUS AID, RELIEF, AND ECONOMIC SECURITY (CARES) ACT FUNDING

HA OLA VILLAGE: PERPETUATING AND PRESERVING TRADITIONAL NATIVE HAWAIIAN CULTURAL PRACTICES TO PROMOTE HEALTH AND WELL-BEING

NURSING WORKFORCE DIVERSITY

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

HEALTH CENTER INFRASTRUCTURE SUPPORT

CHANGING CHRONIC ILLNESS TRAJECTORIES AMONG NATIVE HAWAIIANS

FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)

FISCAL YEAR 2025 EXPANDED HOURS. - PROJECT TITLE: EXPANDING ACCESS TO URGENT AND PRIMARY CARE SERVICES IN WEST OAHU APPLICANT ORGANIZATION NAME: WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED DBA WAIANAE COAST COMPREHENSIVE HEALTH CENTER ADDRESS: 86-260 FARRINGTON HWY, WAIANAE, HAWAII 96792-3182 PROJECT DIRECTOR: KATHLEEN PAGE, APRN, FNP-C PROJECT DURATION: DECEMBER 1, 2024 THROUGH NOVEMBER 30, 2026 TOTAL FUNDING REQUEST: $500,000 ANNUALLY X 2 YEARS THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER (WCCHC) PROPOSES TO EXPAND THE OPERATING HOURS OF ITS TWO SATELLITE LOCATIONS, WEST OAHU COMMUNITY HEALTH (WOCH) KWIK CLINIC IN KAPOLEI AND WAIOLA KWIK CLINIC IN WAIANAE, TO ENHANCE ACCESS TO URGENT AND PRIMARY CARE SERVICES FOR THE COMMUNITIES OF WEST OAHU. THE EXPANSION AIMS TO ADDRESS THE CHALLENGES FACED BY COMMUNITY MEMBERS INCLUDING LONG WORKING HOURS, DENSE TRAFFIC, AND LIMITED CHILDCARE, POOR ACCESS TO PRIMARY CARE SERVICES OUTSIDE OF THE WORK DAY. THE PROJECT TARGETS THE RESIDENTS OF WEST OAHU, PARTICULARLY THOSE WHO STRUGGLE WITH ACCESSING HEALTHCARE SERVICES DUE TO DEMANDING WORK SCHEDULES, HIGH POVERTY RATES, SIGNIFICANT HEALTH DISPARITIES AND OTHER SOCIO-ECONOMIC BARRIERS. THE PRIMARY BENEFICIARIES INCLUDE LOW-INCOME FAMILIES, INDIVIDUALS WORKING MULTIPLE JOBS, AND THOSE WITH LIMITED ACCESS TO CHILDCARE AND TRANSPORTATION. THE EXPANDED HOURS WILL TARGET THESE NEEDS BY ENHANCING THE CAPACITY OF WCCHC TO DELIVER INTEGRATED, PATIENT-CENTERED CARE THAT IS CULTURALLY RESPONSIBLE AND EQUITABLE. IN 2023, WCCHC SERVED 35,495 PATIENTS WITH OVER 195,000 VISITS COMPRISED OF 48% HAWAIIAN, 12% OTHER PACIFIC ISLANDERS AND 16% ASIAN. 71% OF OUR PATIENTS WERE AT 100% AND BELOW POVERTY LEVEL WITH 60% OF OUR TOTAL PATIENTS ON MEDICAID. THE TWO CLINICS WILL EXTEND WEEKDAY HOURS FROM 4:30 P.M. TO 6:00 P.M. FOR A TOTAL OF 7.5 HOURS WEEKLY AT EACH SITE. WOCH KWIK CLINIC WILL EXTEND SATURDAY HOURS FROM 12 P.M. TO 2:00 P.M. FOR AN ADDITIONAL TWO HOURS WEEKLY. WAIOLA KWIC CLINIC WILL INTRODUCE NEW SATURDAY HOURS FROM 7:30 A.M. TO 12:00 P.M. FOR AN ADDITIONAL 4.5 HOURS WEEKLY. BOTH SITES WILL ENHANCE PATIENT SUPPORT SERVICES THROUGH A “POD” SYSTEM WHERE PATIENTS CAN RECEIVE ASSISTANCE WITH HEALTH INSURANCE APPLICATIONS AND OTHER SOCIAL SERVICES. IN ADDITION TO THE FUNDING NEEDED TO COMPENSATE OUR PROVIDERS AND STAFF FOR THESE EXTENDED HOURS, WE WILL BE ADDING AN AMBULATORY CARE NURSE TO OUR TEAM TO PROVIDE HEALTH CARE QUALITY SUPPORT. OUR HEALTH CENTER TRANSPORTATION VAN WILL BE AVAILABLE FOR FOLLOW-UP APPOINTMENTS AND FORMAL INTERPRETER SERVICES FOR LANGUAGE ASSISTANCE WILL BE AVAILABLE AT BOTH SITES. THE EXTENDED HOURS WILL INCREASE ACCESS TO URGENT AND PRIMARY CARE SERVICES AND ENHANCE INTEGRATION OF PRIMARY CARE SERVICES WITH SPECIALISTS AND PROVIDE A WARM HAND-OFF FOR BEHAVIORAL HEALTH SERVICES TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE DISORDER NEEDS OF THE COMMUNITY. THE PROJECT WILL PARTNER WITH LOCAL ENTITIES TO FACILITATE COMPREHENSIVE CARE FOR VULNERABLE POPULATIONS AND SUPPORT THE HEALTH CENTER’S MISSION OF COMMUNITY HEALTH IMPROVEMENT. WCCHC IS COMMITTED TO LEVERAGING ITS ESTABLISHED INFRASTRUCTURE AND EXPERIENCED STAFF, WHILE ENHANCING AND EXTENDING OUR OUTREACH TO OUR COMMUNITY TO ACHIEVE THESE TARGETS. BY EXTENDING CLINIC HOURS AND ENHANCING SUPPORT SERVICES, THE PROJECT WILL SIGNIFICANTLY IMPROVE HEALTHCARE ACCESS FOR WEST OAHU RESIDENTS. THE INITIATIVE WILL ADDRESS CRITICAL BARRIERS TO CARE, PROMOTE HEALTH EQUITY, AND CONTRIBUTE TO THE OVERALL WELL-BEING OF THE COMMUNITY. THE PROJECT’S CULTURALLY COMPETENT CARE APPROACH WILL ENSURE THAT SERVICES ARE RESPECTFUL AND RESPONSIVE TO THE COMMUNITY’S NEEDS.

THE WAIANAE 'OHANA PRODUCE PRESCRIPTION (WOPRX) PROJECT WILL BRING TOGETHER HAWAII'S LARGEST FEDERALLY-QUALIFIED COMMUNITY HEALTH CENTER (CHC) WITH COMMUNITY FOOD SYSTEM PARTNERS TO WORK AS AN 'OHANA OR FAMILY, TO SUPPORT PATIENTS AT HIGHEST RISK FOR POOR HEALTH OUTCOMES. WOPRX WILL TAKE A HOLISTIC, PATIENT AND FAMILY-CENTERED APPROACH TO EMPOWER PATIENTS TO BUY AND EAT MORE FRESH PRODUCE AND SUSTAIN THIS BEHAVIOR FOR LIFE. THE PROJECT WILL BE LED BY THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER (WCCHC), HAWAII'S LARGEST AND OLDEST FEDERALLY-QUALIFIED COMMUNITY HEALTH CENTER AND A TRUSTED SOURCE OF HEALTHCARE IN THE COMMUNITY. IT WILL TARGET THE MEDICALLY-UNDERSERVED, ECONOMICALLY DISTRESSED COMMUNITIES ALONG THE WAIANAE COAST OF OAHU, HAWAII. MANY RESIDENTS HAVE HIGH RATES OF NUTRITION-RELATED CHRONIC DISEASES, SUCH AS DIABETES, AND HEART DISEASE, AS WELL AS FOOD INSECURITY. CHANGING BEHAVIOR IS DIFFICULT, ESPECIALLY FOR THOSE EXPERIENCING CHRONIC ILLNESSES AND COMPLEX SOCIAL DETERMINANTS OF HEALTH, SUCH AS POVERTY. AS SUCH, PATIENT PARTICIPANTS WILL RECEIVE PRODUCE PRESCRIPTIONS TO ENABLE MONTHLY, WHOLE AND PRE-CUT, FRESH PRODUCE PURCHASES AT THE WCCHC MAKEKE FARMERS MARKETS. IN ADDITION, THE WOPRX TEAM WILL COLLABORATE WITH WCCHC PROVIDERS, MARKET STAFF, CASE MANAGERS, HEALTH EDUCATORS, AND COMMUNITY PARTNERS TO SUPPORT AND COACH PATIENTS TO ADDRESS THE BARRIERS THAT MAKE HEALTHIER CHOICES, EVEN FILLING A PRODUCE PRESCRIPTION, SO DIFFICULT. THIS SUPPORT WILL ENABLE PARTICIPANTS TO REDUCE FOOD INSECURITY AND SUSTAIN ACTIVE PARTICIPATION IN THE WOPRX PROGRAM. WITH TIME, PARTICIPANTS WILL ESTABLISH A MORE APPROPRIATE USE OF HEALTHCARE RESOURCES, REDUCE HEALTHCARE COSTS, AND IMPROVE THEIR HEALTH OUTCOMES.

TEACHING HEALTH CENTER PLANNING AND DEVELOPMENT PROGRAM

**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** THIS PROJECT WILL EXPAND THE REACH OF THE WAIANAE 'OHANA PRODUCE PRESCRIPTION (WOPRX) PROJECT AND ADDRESS THE CRITICAL NEEDS OF PREGNANT WOMEN AND YOUNG CHILDREN FROM THE WAIANAE COAST. THE WOPRX HAS BROUGHT TOGETHER THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER (WCCHC) WITH COMMUNITY FOOD SYSTEM PARTNERS TO SUPPORT PATIENTS AT HIGHEST RISK FOR POOR HEALTH OUTCOMES. CURRENTLY, WOPRX SERVES ADULTS WITH NUTRITION-RELATED CHRONIC DISEASES, SUCH AS DIABETES FROM THE MEDICALLY-UNDERSERVED, ECONOMICALLY DISTRESSED COMMUNITIES ALONG THE WAIANAE COAST OF WEST OAHU, HAWAII. THE COMMUNITIES HAVE BEEN PARTICULARLY IMPACTED BY THE COVID-19 PANDEMIC, WITH SOME OF HAWAII'S HIGHEST RATES OF INFECTION AND UNEMPLOYMENT. AS SUCH, FOOD INSECURITY, WHICH WAS COMMON PRIOR TO THE PANDEMIC, HAS GREATLY WORSENED. IN THE CONTEXT OF POOR FOOD ACCESS AND THE ON-GOING STRESS, WORSENING FOOD INSECURITY, OBESITY, AND PRE-DIABETES ARE DEVELOPING CONCURRENTLY AMONG MANY RESIDENTS, INCLUDING PREGNANT WOMEN AND CHILDREN. THE WOPRX EXPANSION PROJECT WILL ENROLL 200 PREGNANT WOMEN WITH FOOD INSECURITY AND/OR NUTRITION-RELATED CONDITIONS AND 200 CHILDREN UNDER 5 YEARS OF AGE, FROM FOOD INSECURE HOUSEHOLDS. PARTICIPANTS WILL RECEIVE PRODUCE PRESCRIPTION VOUCHERS TO ENABLE MONTHLY FRESH PRODUCE PURCHASES AT THE WCCHC FARMERS MARKETS. WOPRX TEAM WILL COLLABORATE WITH WCCHC SERVICE PROVIDERS AND COMMUNITY PARTNERS TO HELP PARTICIPANTS ADDRESS THE BARRIERS THAT MAKE HEALTHIER CHOICES SO DIFFICULT. TOGETHER, THE PROJECT WILL HELP PARTICIPANTS REDUCE FOOD INSECURITY, DECREASE CHRONIC DISEASE RISK, AND ULTIMATELY REDUCE HEALTHCARE COSTS. THE PRODUCE PRESCRIPTIONS WILL ALSO STRENGTHEN THE COMMUNITY'S FOOD SYSTEMS, WHICH HAVE BEEN HIT HARD BY THE PANDEMIC.

FY 2023 EARLY CHILDHOOD DEVELOPMENT

HEALTH CENTER PROGRAM SERVICE EXPANSION - SCHOOL BASED SERVICE SITES (SBSS)

**AWARDS ISSUED PRIOR TO JANUARY 20, 2025, WERE FUNDED UNDER PREVIOUS ADMINISTRATIONS AND MAY NOT REFLECT THE PRIORITIES AND POLICIES OF THE CURRENT ADMINISTRATION.** WEST OAHU PRODUCE RX PROGRAM (WOPRX)

FY 2023 EXPANDING COVID-19 VACCINATION

ARRA - INCREASE SERVICES TO HEALTH CENTERS

TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM - NA OHANA O KA HALE OLA FAMILY MEDICINE RESIDENCY PROGRAM (NOKHO) IS DEDICATED TO PROMOTING THE AIMS OF ITS ACCREDITED SPONSORING INSTITUTION (SI), WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED DBA WAIANAE COAST COMPREHENSIVE HEALTH CENTER (WCCHC) (WEBSITE: WWW.WCCHC.COM), IN HEALING, LEARNING AND INNOVATION, BY TRAINING CULTURALLY COMPETENT FAMILY MEDICINE PHYSICIANS FROM DIVERSE BACKGROUNDS TO PROVIDE HIGH QUALITY, INNOVATIVE AND AFFORDABLE HEALTHCARE TO THE MOST VULNERABLE POPULATIONS IN THE STATE OF HAWAII. IN RESPONSE TO THE KNOWN SHORTAGE OF PRIMARY CARE PHYSICIANS IN THE MEDICALLY UNDERSERVED AREA SERVICED BY OUR HEALTHCARE CENTER, OUR VISION IS TO CREATE A NEW THREE-YEAR FAMILY MEDICINE TRAINING PROGRAM FOR THREE RESIDENTS IN EACH YEAR (THREE IN ACADEMIC YEAR 2025-2026, INCREASING TO NINE RESIDENTS IN YEAR 3), TO TRAIN A NEW GENERATION OF FAMILY MEDICINE PHYSICIANS WHO ARE DEEPLY CONNECTED TO AND ROOTED IN THEIR COMMUNITIES. WE ENVISION A RESIDENCY PROGRAM WHERE TRAINEES NOT ONLY GAIN CLINICAL EXPERTISE BUT ALSO DEVELOP A PROFOUND UNDERSTANDING OF LOCAL SOCIAL DETERMINANTS OF HEALTH AND A COMMITMENT TO ADDRESSING THE UNIQUE HEALTHCARE NEEDS OF THE DIVERSE POPULATION OF NATIVE HAWAIIANS AND OTHER PACIFIC ISLANDERS AT OUR NANAKULI CLINIC. THROUGH HANDS-ON EXPERIENCE, TAILORED CURRICULUM, AND COMMUNITY ENGAGEMENT, WE AIM TO CULTIVATE SKILLED, COMPASSIONATE, CULTURALLY COMPETENT, AND SOCIALLY RESPONSIBLE FAMILY MEDICINE PHYSICIANS WHO ARE ADVOCATES FOR HEALTH EQUITY AND AGENTS OF POSITIVE CHANGE IN THE COMMUNITIES THEY SERVE. NOKHO’S MAIN PRIMARY CARE TRAINING LOCATION IS IN NANAKULI AND SERVES A PRIMARILY NATIVE HAWAIIAN POPULATION ON THE WAIANAE COAST OF THE ISLAND OF OAHU, IN THE STATE OF HAWAII. THESE PATIENTS EXPERIENCE DISPROPORTIONALLY HIGH RATES OF CARDIOVASCULAR DISEASE, HYPERTENSION, DIABETES, CANCERS, OBSTRUCTIVE LUNG DISEASES, CHRONIC KIDNEY DISEASE AND OBESITY. THE PARTNERSHIP WITH OUR AFFILIATED HOSPITAL, THE QUEEN’S MEDICAL CENTER, WHICH HAS ONE CAMPUS NEAR OUR PRIMARY FAMILY MEDICINE PRACTICE SITE, AND ONE CAMPUS IN THE HUB OF HONOLULU, WILL ALLOW FOR OUR RESIDENTS TO CARE FOR THESE PATIENTS ACROSS A SPECTRUM OF CARE SETTINGS. THE RESIDENCY PROGRAM WILL OPERATE AS A STAND-ALONE WITH RESIDENTS STARTING IN 2025. WE ANTICIPATE THAT OUR EFFORTS WILL LEAD TO IMPROVED HEALTH OUTCOMES, INCREASED PATIENT SAFETY AND SATISFACTION, AND ENHANCED QUALITY OF CARE FOR THE DIVERSE POPULATIONS WE SERVE. WCCHC’S MAIN SERVICE AREA OF THE WAIANAE COAST IS IN A MEDICALLY UNDERSERVED AREA (MUA) - 00764 AND HAS A CURRENT HPSA SCORE OF 21 FOR PRIMARY CARE, 22 FOR MENTAL HEALTH, AND 24 FOR DENTAL.

SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM

FY 2020 CORONAVIRUS SUPPLEMENTAL FUNDING FOR HEALTH CENTERS

WAIANAE FARMERS MARKET EXPANSION PROJECT

FY 2023 BRIDGE ACCESS PROGRAM

HEALTH INFRASTRUCTURE INVESTMENT PROGRAM

STRENGTHING FAMILIES AND PROMOTING HEALTY RELATIONSHIPS